SAMARA ELISE POLLOCK (MD) – Dermatology Physician, NPI 1184201295
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for SAMARA ELISE POLLOCK (MD)
1516 LOCUST ST
PHILADELPHIA, PA 191024409
Phone: (843) 792-2575
Type: Mailing
169 ASHLEY AVENUE
ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Phone: (843) 792-2575
Type: Mailing
171 ASHLEY AVE
CHARLESTON, SC 294258908
Phone: (843) 792-3021
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $473.
Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($149).
Total Amount
$473
General + Research + Ownership
Payments
6
Total payment records
General Amount
$473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250904004602 | I | Dermatology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| - | PA | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | PA | |
| - | PA | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | MD | |
| Physician Assistant | PA |
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